Renewing your Medicaid coverage in Texas is important to ensure you continue to receive healthcare benefits. You can renew online, by mail, or in person at your local Medicaid office. To renew online, you’ll need your Medicaid ID number and Social Security number. You can also renew by mail by completing the renewal form and mailing it to the address provided. If you prefer to renew in person, bring your Medicaid ID card and a form of identification to your local Medicaid office. Remember to renew your coverage on time to avoid any interruption in your healthcare benefits.
Understanding Medicaid Eligibility in Texas
Medicaid is a federal-state program that provides health insurance coverage to people in the United States with limited income and resources. In Texas, Medicaid is administered by the Health and Human Services Commission (HHSC). To be eligible for Medicaid in Texas, you must meet certain requirements, including:
- Be a U.S. citizen, a permanent resident, or a qualified non-citizen
- Be a resident of Texas
- Meet certain income and asset limits
- Meet certain medical conditions or be a member of a specific population group
You can find more information about Medicaid eligibility in Texas on the HHSC website.
Applying for Medicaid in Texas
If you believe you may be eligible for Medicaid in Texas, you can apply online, by mail, or in person at your local HHSC office. The application process includes providing information about your income, assets, household size, and medical conditions. You may also be required to provide proof of your identity and residency.
Once you have submitted your application, it will be reviewed by HHSC. If you are approved for Medicaid, you will receive an ID card in the mail.
Renewing Your Medicaid Coverage
Your Medicaid coverage will expire at the end of each 12-month period. To renew your coverage, you must submit a renewal application to HHSC. The renewal process is similar to the application process. You will need to provide updated information about your income, assets, household size, and medical conditions.
You can submit your renewal application online, by mail, or in person at your local HHSC office. You should submit your renewal application at least 30 days before your coverage expires to avoid a lapse in coverage.
What if My Medicaid Coverage Is Denied?
If your Medicaid application or renewal application is denied, you can appeal the decision. The appeal process involves filing a written request for a hearing with HHSC. You will have the opportunity to present evidence and arguments supporting your case at the hearing.
Medicaid Coverage in Texas
Medicaid coverage in Texas includes a wide range of health care services, including:
- Doctor visits
- Hospital stays
- Prescription drugs
- Mental health services
- Dental care
- Vision care
- Long-term care
The specific services that are covered by Medicaid in Texas vary depending on your age, income, and medical condition.
| Household Size | Income Limit |
|---|---|
| 1 | $1,893 per month |
| 2 | $2,553 per month |
| 3 | $3,212 per month |
| 4 | $3,871 per month |
| 5 | $4,531 per month |
| 6 | $5,189 per month |
| 7 | $5,848 per month |
| 8 | $6,506 per month |
Required Documents for Medicaid Renewal in Texas
To renew your Medicaid coverage in Texas, you will need to provide the following documents:
- Proof of identity: This can be a driver’s license, state ID card, or passport.
- Proof of citizenship or legal residency: This can be a birth certificate, naturalization certificate, or permanent resident card.
- Proof of income: This can be pay stubs, tax returns, or Social Security benefits statements.
- Proof of assets: This can be bank statements, stock certificates, or property deeds.
- Proof of household size: This can be a marriage certificate, divorce decree, or birth certificates for children.
- Proof of disability or medical condition: This can be a doctor’s statement or hospital records.
You may also be asked to provide additional documents, depending on your specific circumstances.
| Document | Purpose |
|---|---|
| Proof of identity | Driver’s license, state ID card, or passport |
| Proof of citizenship or legal residency | Birth certificate, naturalization certificate, or permanent resident card |
| Proof of income | Pay stubs, tax returns, or Social Security benefits statements |
| Proof of assets | Bank statements, stock certificates, or property deeds |
| Proof of household size | Marriage certificate, divorce decree, or birth certificates for children |
| Proof of disability or medical condition | Doctor’s statement or hospital records |
Filing for Medicaid Renewal Online in Texas
You can easily file for Medicaid renewal online in Texas using the YourTexasBenefits portal. Here’s how you can go about it:
- Step 1: Create an Account
- Visit the YourTexasBenefits portal.
- Click “Apply for Benefits” and select “Medicaid.”
- Create an account by providing your name, date of birth, and Social Security number.
- Step 2: Fill Out the Application
- Answer questions about your household income, assets, and other eligibility factors.
- Provide information about your family members who are applying for Medicaid.
- Upload any necessary documents, such as proof of income or citizenship.
- Step 3: Submit the Application
- Review your application for accuracy and completeness.
- Click “Submit” to send your application to the Texas Health and Human Services Commission (HHSC).
- You will receive a confirmation number that you can use to track the status of your application.
- Step 4: Wait for a Decision
- HHSC will process your application and make a decision within 45 days.
- You will receive a notice in the mail informing you of the decision.
- If you are approved for Medicaid, your coverage will start on the first day of the month following the date of approval.
Please note: You can also renew your Medicaid coverage by phone at 1-877-541-7905 or by mail by sending your renewal form to the address provided on the form.
Renewal Deadlines
It’s important to renew your Medicaid coverage on time to avoid a lapse in coverage. The renewal deadline is usually 30 days before your coverage expires. If you renew your coverage after the deadline, you may have to wait for a new coverage period to start, which could mean a gap in your coverage.
Documents Required
When you renew your Medicaid coverage, you will need to provide certain documents, such as:
- Proof of identity
- Proof of income
- Proof of citizenship or legal residency
- Proof of pregnancy (if you are pregnant)
- Proof of disability (if you are disabled)
Need Help?
If you need help with renewing your Medicaid coverage, you can contact the Texas Health and Human Services Commission (HHSC) at 1-877-541-7905 or visit their website at